Can I Get a Tummy Tuck if Prone to Blood Clots?

If you have previously had a pulmonary embolism, you are at greater risk of having one  with any surgical procedure.  There are ways, however, to reduce your risk.  Most surgeons will use sequential compression stockings during the surgery as well,as early ambulatory.  the tummy tuck procedure is the one that places you at greater risk.  Also ,blood clots are directly related to the length of time of your procedure.  It is worth considering  not combining the procedures to reduce the risk.  I agree with the other surgeons on the hematology consult prior to your surgery.

Thank you for your question.  Yes, you can still get a tummy tuck but you will likely be higher risk than the average person and special precautions will need to be taken.  A referral to a specialist (hematologist) can be done by your regular doctor to make sure that you don't have an underlying medical condition the causes you to clot.  Discuss this with your plastic surgeon and follow all recommendations.  I hope this helps.

A consultation with a haematologist should be obtained.  You will most likely be put on a blood thinner prior to your surgery.  Risks to consider are: there is still a risk of a blood clot even if precautions are taken, and you may have an increased risk of bleeding during and after surgery.  If after your discussion with your hematologist and your plastic surgeons you feel that these risks are acceptable than you can make the decision to proceed.

(remember there is always a risk of a clot or bleeding and the question is what is your particular risk if all precautions are taken)

 

Sincerely,

Martin Jugenburg, MD, FRCSC